Ariz. Admin. Code § R9-3-404 - Supplemental Standards for Care of an Enrolled Child with Special Needs

A. Before an enrolled child with special needs receives child care services at a child care group home, the certificate holder shall ensure that the provider obtains from the enrolled child's parent an individual plan for the enrolled child that includes, as applicable, the following:

1. A medication schedule,

2. Nutrition and feeding instructions,

3. Instructions for medical equipment or adaptive devices used by the enrolled child,

4. Emergency instructions,

5. Toileting and personal hygiene instructions,

6. Identification of specific child care services to be provided at the child care group home, and

7. Instructions for fire and emergency evacuation drills.

B. A certificate holder shall ensure that:

1. At least one staff member receives instructions from the parent of an enrolled child with special needs that enables the staff member to interact with, feed, and care for the enrolled child with special needs;

2. Documentation of the instructions required in subsection (B)(1) is maintained on the premises for 12 months after the child is disenrolled;

3. When tube feeding an enrolled child, a staff member only uses:

a. Commercially prepackaged formula in a ready-to-use state, stored according to directions on the package;

b. Formula prepared by the enrolled child's parent and brought to the child care group home in an unbreakable container; or

c. Breast milk brought to the child care group home in an unbreakable container;

4. Only a staff member who received the instructions required in subsection (B)(1):

a. Feeds an enrolled child who requires tube feeding using the enrolled child's tube-feeding apparatus, and

b. Cleans the enrolled child's tube-feeding apparatus; and

5. A staff member:

a. Assists an enrolled child with special needs to enable the enrolled child to participate in activities at the child care group home; and

b. Ensures that the enrolled child is provided with developmentally appropriate toys, materials, and equipment.

C. In addition to complying with the requirements in R9-3-408, a certificate holder shall ensure that a staff member transporting an enrolled child with special needs in a wheelchair in a motor vehicle operated by the child care group home ensures that:

1. The enrolled child's wheelchair is manufactured to be secured in a motor vehicle;

2. The enrolled child's wheelchair is secured in the motor vehicle using a minimum of four anchorages attached to the motor vehicle floor, and four securement devices, such as straps or webbing that have buckles and fasteners, that attach the wheelchair to the anchorages;

3. The enrolled child is secured in the wheelchair by means of a wheelchair restraint that is a combination of pelvic and upper body belts intended to secure a passenger in a wheelchair; and

4. The enrolled child's wheelchair is placed in a position in the motor vehicle that does not prevent access to the enrolled child in the wheelchair or passage to the front and rear of the motor vehicle.

Notes

Ariz. Admin. Code § R9-3-404

New Section made by final rulemaking at 10 A.A.R. 1214, effective September 1, 2004 (Supp. 04-1). Section repealed; new R9-3-404 renumbered from R9-3-406and amended by exempt rulemaking at 17 A.A.R. 1530, effective September 30, 2011 (Supp. 11-3). Subsection (B)(3)(a) corrected at request of Department, Office File No. M11-379, filed October 20, 2011 (Supp. 11-3). Amended by final expedited rulemaking at 26 A.A.R. 1969, effective 9/2/2020.